| NPI | 1699216127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2378313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20844) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20844) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10005321) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-08-15 |